Flat-Rate Full-Service Name Change of Minor Child Package with ProDocs+

ACKNOWLEDGEMENT & ACCEPTANCE: PLEASE CHECK BELOW BEFORE PROCEEDING

I have reviewed the quote and details for Full-Service Name Change of Minor Child Package and I am ready to proceed

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Waiver of Court Filing Fees for Civil Indigent Status

Do you believe you would qualify for Indigent Status and would be approved by the court to waive your court filing fees?

To learn more about qualifying for civil indigency: CLICK ABOVE

Yes

No

PETITIONER 1 INFORMATION

County of Residence

Relationship to Minor

Mother

Father

Mother's Maiden Name (if applicable)

Will Petitioner 1 be the person receiving the invoices and making payments for this case?

Yes

No

Input the full name of the person who will pay the legal fees: Input their phone number: Input their email address:

PETITIONER 2 OR RESPONDENT (OTHER PARENT) INFORMATION

Please provide the information below for Other Parent

FULL NAME | FULL ADDRESS | PHONE NUMBER | EMAIL ADDRESS | DATE OF BIRTH

Petitioner 2 Relationship to Minor

Mother

Father

Mother's Maiden Name (if applicable)

What is the minors legal gender?

Full Name You Want to Change Minors existing name to

Minors City and State of Birth

Minors County of Birth

Please provide a list of ALL addresses where Minor has lived since birth, including the From/To dates for each

MINOR's PREVIOUS NAME CHANGE(s) & OTHER NAME(s)

Has the Minor ever been known or called by any other name(s)?

Yes

Please provide a list of FULL name(s) of ALL other Name(s) you have been known or called.

No

Has the Minor's name ever been changed by a Court?

Yes

Date of Court Order City, County, and State of Court that Issued Order Changing your Name Upload a .PDF copy of the Court Order OR email it to rivera@prodocsplusfl.com

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No

Please provide FROM what Name To what Name, for any previous Name Change(s)

PETITIONER's EMPLOYMENT INFORMATION

Do you have any other children?

Yes

Please provide a list of FULL Name(s), Age(s), and Address(es) of your child(ren).

No

Are you currently employed?

Yes

What is your Occupation? Name, Address and Phone Number of your Current Employe

No

Please provide a list of all employment you have had the past 5 years

Do you own and/or operate a business?

Yes

What is your Profession Dates and Locations where you have practiced this Profession

No

PETITIONER AND MINOR's EDUCATION & CRIMINAL HISTORY INFORMATION

Please provide a list of all the Schools Petitioners have Graduated from

Please include dates and degree(s) received, if applicable

Please provide a list of all the Schools Minor has Attended or Graduated from

Please include dates and degree(s) received, if applicable

Have you ever been Arrested for or Charged with, Plead Guilty or Nolo Contendere To, or been found to have committed a Criminal Offense, regardless of adjudication?

Yes

No

Have you ever been required to Register as a Sexual Predator under Section 775.21, Florida Statutes?

Yes

No

Have you ever been required to Register as a Sexual Offender under Section 943.0435, Florida Statutes?

Yes

No

Have you ever been Adjudicated Bankrupt?

Yes

No

Have you ever had a Money Judgment entered against you by a Creditor?

Yes

No

Answer True of False to this statement: Child #1 is not employed in an occupation or profession, does not own and operate a business, and has received no educational degrees.

True

False

Has the Minor ever been arrested for or charged with, pled guilty or nolo contendere to, or been found to have committed a criminal offense, regardless of adjudication?

Yes

No

Has child #1 ever been required to register as a sexual predator or sexual offender under the laws of the State of Florida?

Yes

No

You will be required to have your fingerprints taken and to undergo a criminal history records check. You understand that you cannot request a hearing on your Petition until the Clerk of Court receives the results of the criminal history records check. I also understand that the state and national records check must indicate whether I have registered as either a sexual predator or sexual offender.

I UNDERSTAND

Do you understand that you must swear or attest under oath to the truthfulness of the claims made in this Petition for Name Change, and that the punishment for knowingly making a false statement includes fines and/or imprisonment?

I UNDERSTAND

Have Your Civil Rights Ever Been Suspended?

Yes

No

You must attest that you do not have an ulterior or illegal purpose for filing your Petition for Name Change, and granting it will not in any manner invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or otherwise.

I ATTEST

Please use this space to add additional comments or to clarify any above answers

SIGNING AND NOTARIZATION OF YOUR COMPLETED DOCUMENTS

How do you prefer to receive your completed documents that require notarization?

I would like them mailed to me. I will take them to sign in front of a local notary public.

I would like them emailed to me. I will print them and take them to sign in front of a local notary public.

What type of ID will the Petitioner on this case be using for the notarization of documents?

Florida Driver License/ID

Other State License/ID

Which State?

US Passport

NAME CHANGE DISCLAIMERS

Unless you are attempting to restore a former name, you will be required to have your fingerprints taken and to undergo a Criminal History records check. You understand that you cannot request a hearing on your Petition until the Clerk of Court receives the results of the Criminal History Records Check. I also understand that the State and National Records Check must indicate whether I have registered as either a sexual predator or sexual offender.

I Understand

AFFIRMATIONS

You must attest that you do not have an ulterior or illegal purpose for filing your Petition for Name Change, and granting it will not in any manner invade the property rights of others, whether partnership, patent, good will, privacy, trademark, or otherwise.

I Attest

Do you understand that you must swear or attest under oath to the truthfulness of the claims made in your Petition for Name Change, and that the punishment for knowingly making false statement includes fines and/or imprisonment?

I Attest

AFFIRMATIONS of NON-LAWYER DISCLOSURES

Affirmation #1

I read English.

Affirmation #2

I fully understand and acknowledge the Disclosure from Nonlawyers

Affirmation #3

I am not seeking legal advice or legal representation

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